Federal Register / Vol. 72, No. 36 / Friday, February 23, 2007 / Notices 8167 

In accordance with section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention, NCEH/ATSDR 

announces the following teleconference 

meeting of the aforementioned 

subcommittee: 

Times and Dates: 12:30 p.m.–2 p.m., 

March 19, 2007. 

Place: Century Center, 1825 Century 

Boulevard, Atlanta, Georgia 30345. 

Status: Open to the public, teleconference 

access limited only by availability of 

telephone ports. 

Purpose: Under the charge of the Board of 

Scientific Counselors, NCEH/ATSDR the 

Health Department Subcommittee will 

provide the BSC, NCEH/ATSDR with advice 

and recommendations on local and State 

health department issues and concerns that 

pertain to the mandates and mission of 

NCEH/ATSDR. 

Matters to be Discussed: The meeting will 

include a review of the agenda; approval of 

minutes from the last conference call; a 

discussion on identifying State and Local 

government issues; a discussion on bridging 

NCEH/ATSDR programs; public comment 

and the next steps for the Health Department 

Subcommittee. 

Items are subject to change as priorities 

dictate. 

Supplementary Information: This 

teleconference meeting is scheduled to begin 

at 12:30 p.m. Eastern Daylight Savings Time. 

To participate, please dial 877/315–6535 and 

enter conference code 383520. The public 

comment period is scheduled from 1:30 

p.m.–1:40 p.m. 

Contact Person for More Information: 

Shirley D. Little, Committee Management 

Specialist, NCEH/ATSDR, 1600 Clifton Road, 

Mail Stop E–28, Atlanta, GA 30303; 

telephone 404/498–0615, fax 404/498–0059; 

E-mail: slittle@cdc.gov. The Director, 

Management Analysis and Services Office, 

has been delegated the authority to sign 

Federal Register notices pertaining to 

announcements of meetings and other 

committee management activities for both 

CDC and the ATSDR. 

Dated: February 16, 2007. 

Elaine L. Baker, 

Acting Director, Management Analysis and 

Services Office, Centers for Disease Control 

and Prevention. 

[FR Doc. E7–3100 Filed 2–22–07; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–131, CMS–

10219, CMS–10097, CMS–255, and CMS–

437] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Advance 

Beneficiary Notice of Noncoverage 

(ABN); Use: Under section 1879 of the 

Social Security Act, a physician, 

provider, practitioner or supplier of 

items or services participating in the 

Medicare Program, or taking a claim on 

assignment, may bill a Medicare 

beneficiary for items or services usually 

covered under Medicare, but denied in 

an individual case under specific 

statutory exclusions, if they inform the 

beneficiary, prior to furnishing the 

service, that Medicare is likely to deny 

payment. 42 CFR 411.404(b) and (c), 

and 411.408(d)(2) and (f), require 

written notice be provided to inform 

beneficiaries in advance of potential 

liability for payment. 

While the basic content of the ABN 

remains the same, there were several 

changes to the notice including but not 

limited to the following: (1) Revised, 

more user friendly language; (2) 

combining the two versions of the ABN, 

the General Use ABN, form CMS–R–

131–G, and CMS–R–131–L, which was 

used specifically for physician-ordered 

laboratory tests, into a single general 

notice meeting both needs; (3) adding 

the 1–800–MEDICARE number on the 

notice; (4) adding information about the 

beneficiary’s right to demand Medicare 

be billed; (5) increasing the selection 

options to 3 from 2, to allow 

beneficiaries’ the right to pay out of 

pocket when they desire; (6) allowing a 

place for other insurance information to 

be recorded; and (7) describing the 

significance of the signature; Form 

Number: CMS–R–131 (OMB#: 0938–

0566); Frequency: Reporting: Weekly, 

Monthly, Yearly, Biennially and 

Occasionally; Affected Public: Business 

or other for-profit and not-for-profit 

institutions; Number of Respondents: 

1,270,614; Total Annual Responses: 

40,302,506; Total Annual Hours: 

4,701,959. 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Health Plan 

Employer Data And Information Set 

(HEDIS ); Use: The Centers for 

Medicare & Medicaid Services (CMS) 

collects quality performance measures 

in order to hold the Medicare managed 

care industry accountable for the care 

being delivered, to enable quality 

improvement, and to provide quality 

information to Medicare beneficiaries in 

order to promote an informed choice. It 

is critical to CMS’ mission that we 

collect and disseminate information that 

will help beneficiaries choose among 

health plans, contribute to improved 

quality of care through identification of 

improvement opportunities, and assist 

CMS in carrying out its oversight and 

purchasing responsibilities. 

In December 1997, OMB approved the 

request from CMS for the information 

collections under HEDIS and assigned 

the agency form number CMS–R–200. 

The collections approved under that 

request included the HEDIS collection 

(following the technical specifications 

contained in Volume 2, published by 

the National Committee for Quality 

Assurance (NCQA); the Health of 

Seniors/Health Outcomes Survey (HOS); 

and the Medicare CAHPS survey. 

Since that approval there has been a 

change in the statutory authority as a 

result of the Balanced Budget Act of 

1997. During the latter part of 2000, 

CMS instituted several policy changes 

regarding this collection which reduced 

burden substantially on the part of the 

managed care organizations and the 

process for finalizing and publishing 

that policy delayed the request for OMB 

approval. In addition, the renewal of 

OMB authority for the Medicare CAHPS 

survey was completed as a separate 

request. The HOS renewal was also 

submitted separately. This request is 


cprice-sewell on PROD1PC61 with NOTICES
8168 Federal Register / Vol. 72, No. 36 / Friday, February 23, 2007 / Notices 

solely for the approval of the HEDIS 

collection, which is now a stand alone 

collection. Form Number: CMS–10219 

(OMB#: 0938–NEW); Frequency: Yearly; 

Affected Public: Business or other forprofit and Not-for-profit institutions; 

Number of Respondents: 705; Total 

Annual Responses: 705; Total Annual 

Hours: 33,840. 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Contractor Provider Satisfaction Survey 

(MCPSS); Form No.: CMS–10097 (OMB# 

0938–0915); Use: The Centers for 

Medicare & Medicaid Services will 

obtain feedback from Medicare 

providers via a survey about 

satisfaction, attitudes and perceptions 

regarding the services provided by 

Medicare Fee-for-Service (FFS) Carriers, 

Fiscal Intermediaries, Durable Medical 

Equipment Suppliers, and Regional 

Home Health Intermediaries and 

Medicare Administrative Contractors. 

The survey focuses on basic business 

functions provided by the Medicare 

Contractors such as inquiries, provider 

communications, claims processing, 

appeals, provider enrollment, medical 

review and provider audit and 

reimbursement. Providers will receive a 

notice requesting they use a specially 

constructed Web site to respond to a set 

of questions customized for their 

contractor’s responsibilities. The survey 

will be conducted yearly and annual 

reports of the survey results will be 

available via an online reporting system 

for use by CMS, Medicare Contractors, 

and the general public. Due to changes in CMS’ reporting 

needs, CMS is requesting a potential 

increase in the number of completed 

surveys. This increase will allow CMS 

to have not only Contractor-specific, but 

also jurisdiction and state-specific data 

which, in turn, will enable Contractors 

to increase and implement performance 

improvement activities within their 

organizations. This increase will affect 

the 2008 and 2009 administrations of 

the survey. Frequency: Reporting—

Annually; Affected Public: Business or 

other for-profit, not-for-profit 

institutions; Number of Respondents: 

24,279; Total Annual Responses: 

24,279; Total Annual Hours: 8,346. 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Municipal 

Health Services Cost Report; Form 

Number: CMS–255 (OMB# 0938–0155); 

Use: In June 1978, the Robert Wood 

Johnson Foundation (RWJF) and Health 

Care Financing Administration (HCFA), 

now the Centers for Medicare and 

Medicaid Services (CMS), agreed to 

collaborate in demonstrations and 

evaluations of new methods of 

delivering and reimbursing medical 

services in order to simultaneously 

increase access to primary care and 

decrease total health care costs per 

person served. The Municipal Health 

Services Program (MHSP) is the first of 

these cooperative efforts. The chief 

objective of the MHSP is to assist 

municipalities in providing health care 

services to medically underserved areas. 

By expanding existing programs of 

health departments and hospitals with a 

limited increase in a municipality’s 

health budget, services traditionally 

provided by public health programs and 

hospital outpatient departments will be 

brought together in a single locality. 

Participating clinics are reimbursed 

for all their routine costs based on the 

average cost per visit. Ancillary costs 

are paid according to 14 categories: 

Laboratory, x-ray, pharmacy, 

transportation, optometrist, dentist, 

audiologist, podiatrist, eyeglasses, 

dentures, devices, physical therapy, 

speech therapy, and occupational 

therapy. In order to determine the cost 

of the clinical services being provided, 

it is necessary to determine the direct 

and indirect cost incurred by the 

participating clinics for the routine and 

ancillary cost centers. For evaluation 

purposes, it is necessary to accurately 

identify the total visit count of the 

clinics for all patients and for Medicare 

patients. The MHSP CMS Form 255 cost 

report is the form that is being used to 

report the costs to the participating 

clinics of providing the covered services 

as well as to gather the data needed to 

properly evaluate the demonstration. 

Frequency: Recordkeeping and 

Reporting—Annually; Affected Public: 

Not-for-profit institutions; Number of 

Respondents: 14; Total Annual 

Responses: 14; Total Annual Hours: 

476. 

5. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Psychiatric Unit 

Criteria Worksheet and Supporting 

Regulations at 42 CFR 412.25 and 

412.27. Form Number: CMS–437 (OMB# 

0938–0358); Use: The psychiatric unit 

criteria worksheets are necessary to 

verify that these units comply and 

remain in compliance with the 

exclusion criteria for the Medicare 

prospective payment system. Frequency: 

Reporting—Annually; Affected Public: 

Business or other for-profit, not-forprofit institutions, and State, Local and 

Tribal Government; Number of 

Respondents: 1333; Total Annual 

Responses: 1333; Total Annual Hours: 

333. 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786–

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received at the address below, no 

later than 5 p.m. on April 24, 2007: 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development—C, Attention: 

Bonnie L Harkless, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: February 13, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–3026 Filed 2–22–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10148] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the Agency’s function; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 


cprice-sewell on PROD1PC61 with NOTICES